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RECIPIENT GENERATED TAX INVOICE: COPYRIGHT ROYALTY STATEMENT FROM: 01/10/2009 TO 31/12/2009 VISCOPY MEMBER: JOHN DOE Gross Royalty Service Fee Royalty ex tax GST Royalty inc. tax Royalty Paid Rights Status: Copyright Licensing ABN Supplied: 111 111 111 Tax Code: GST $144.00 $36.00 $108.00 $10.80 $118.80 $118.80 COPYRIGHT HOLDER: STATEMENT DETAILS: Mr John Doe PO Box 1 Sydney NSW 2001 Title: Green Leaves, 1928, Publisher: ABC Museum Publication : The Great Arts, 1900-2010, Print Run 200 $72.00 $18.00 $54.00 $5.40 $59.40 $59.40 Title: The orange door 1953 , Publisher: ABC Museum Free exhibition postcards, Print run 150 $72.00 $18.00 $54.00 $5.40 $59.40 $59.40 Total royalties collected during this period Membership status of the artist; copyright licensing and/or statutory licensing Service fee deducted to cover Viscopy’s operating costs Total royalties to be paid to you during this period Details of how the work was used

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RECIPIENT GENERATED TAX INVOICE: COPYRIGHT ROYALTY STATEMENT FROM: 01/10/2009 TO 31/12/2009

VISCOPY MEMBER: JOHN DOE

Gross Royalty

Service Fee

Royalty ex tax

GST

Royalty inc. tax

Royalty Paid

Rights Status: Copyright Licensing

ABN Supplied: 111 111 111 Tax Code: GST $144.00 $36.00 $108.00 $10.80 $118.80 $118.80

COPYRIGHT HOLDER: STATEMENT DETAILS:

Mr John Doe PO Box 1 Sydney NSW 2001

Title: Green Leaves, 1928, Publisher: ABC Museum

Publication : The Great Arts, 1900-2010, Print Run 200

$72.00 $18.00 $54.00 $5.40 $59.40 $59.40

Title: The orange door 1953 , Publisher: ABC Museum

Free exhibition postcards, Print run 150

$72.00 $18.00 $54.00 $5.40 $59.40 $59.40

Total royalties collected

during this period

Membership status of the artist;

copyright licensing and/or

statutory licensing

Service fee deducted to cover

Viscopy’s operating costs Total royalties to be

paid to you during

this period

Details of how the work was used